Active NPI
Ileana Deftu PC
- Internal Medicine Physician
- Reno, NV
National Provider Identifier
1881001402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12431
- Legal business name
- ILEANA DEFTU PC
- Practice address
- 961 Kuenzli St
Reno, NV 89502-1160 - Phone
- (775) 470-7200
- NPI assigned
- Jul 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ileana C Deftu, M.D.
- Title
- Owner
- Phone
- (775) 233-7116
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12431 | NV | Primary |
Addresses
Primary practice location
961 Kuenzli St
Reno, NV 89502-1160
Mailing address
PO Box 50873
Sparks, NV 89435-0873
Phone (800) 921-7610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140902000426 | NV | Part B Supplier - Clinic/Group Practice | 4981822103 |
Receives reassigned benefits from 3 practitioners Practice locations: Reno, NV |
National Provider Directory
National Provider DirectoryLocations
645 N Arlington Ave
#335
Reno, NV 89503
Phone 88870733353
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Sparks, NV
- NPI 1003123464
-
- Family Nurse Practitioner
- Reno, NV
- NPI 1730649419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1881001402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50873",
"city": "SPARKS",
"state": "NV",
"postal_code": "894350873",
"telephone_number": "800-921-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 KUENZLI ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021160",
"telephone_number": "775-470-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILEANA DEFTU PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-15",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "DEFTU",
"authorized_official_first_name": "ILEANA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "775-233-7116",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "12431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.